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� CITY OF ORONO PERMIT NO.: 2011-01171 <br /> 2750 KELLEY PARKWAY <br /> ORONO, MN 55356- DATE ISSUED: 10/12/2011 <br /> 952 249-4600 FAX: 952 249-4616 <br /> ADDRESS : 2470 COBBLESTONE CT <br /> PIN : 33-118-23-11-0080 <br /> LEGAL DESC : STONEBAY SIXTH ADDIT[ON <br /> : LOT 002 BLOCK 001 <br /> PERMIT TYPE : FIRE SYSTEMS <br /> PROPERTY TYPE : RESIDENTIAL <br /> CONSTRUCTION TYPE : SPRINKLER SYSTEM- IN BUILDING <br /> NO"I'E: INSPECTIONS ARE DONE BY FIRE MARSHAI,L,JAMES VAN EYLL. <br /> PLEASE CALL JAMES VAN EYLL DIRECTLY AT:(952)473-9701 TO SET UP AN INSPECI'ION. <br /> ENTER THE VALUTATION 3800 <br /> APPLICANT FIRE SPRINKLER- RESIDENTIAL 47.50 <br /> LIFESAVER F[RE PROTECT[ON, INC. STATE SURCHARGE VAL OTHER 1.90 <br /> 15405 9TH AVE.N TOTAL 49.40 <br /> PLYMOUTH, MN 55447 <br /> �) <br /> Minnesota State License#: C040 <br /> OWNER <br /> O.T. Development, LLC <br /> 10300 I OTH AVE N <br /> PLYMOUTH,MN 55441- <br /> AGREEMENT AND SWORN STATEMENT <br /> The work lor which this permit is issued shall be performed according to <br /> the approved plans and specifications,applicable City approvals,and the <br /> State E3uilding Code. "I'his permit is for only the work described and does <br /> not grant permission for additional or related work which requires scparate <br /> permits. All provisions of laws and ordinances goveming this type of work <br /> shall be compied with whether or not specified herein.This permit will <br /> expire and become null and void if construction authorized is not <br /> commenced within 180 days of the date of issuance,or if construction is <br /> suspended for a period of 180 days at any time after work has commenced. <br /> I'he applicant is responsible for assuring all required inspections are <br /> requested in conformance with the State Building Code.This permit may be <br /> revoked at any time for due cause. � <br /> l l �.��. ���YY��-c t�7 /(`--/y� -// <br /> Applicant Permitee Signaturc Date Issued By Signature Date <br /> SEPARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED ABOVE. <br />